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Glycosylation of Antibodies: An Application in Therapy Joseph H. Musmanno Biochemistry Comprehensive Department of Chemistry The Catholic University of America Washington, DC Introduction Glycoproteins are some of the fundamental building blocks of the mammalian immune system. These glycoproteins are produced by the covalent attachment of carbohydrate groups to a protein1. They function in varying capacities within the cell membrane; some of which include, protein folding, conferring stability, and aiding in cell to cell adhesion within the immune system. body Glycoproteins found within the immune system of the are at therapies. the root of some diseases and also natural Recently, glycosylation of antibodies outside of the body has been explored for therapeutic purposes. Glycosylation Glycosylation is an enzyme-directed site-specific process which occurs as a post-translational modification in the endoplasmic reticulum (ER) and in the Golgi complex of the cell.1 The linkage linkage or of carbohydrates N-linkage. to O-linked proteins occurs carbohydrates through attach to Othe oxygen atom of the side chain of serine or threonine (Figure 1). The more commonly used method of glycosylation, N-linked, is the attachment of a sugar to the amide nitrogen atom on the side chain of asparagine (Figure 1).1 This linkage to amino acids is imbedded in a conserved sequence of amino acids. 2 Figure 1: N-linked glycosylation of N-acetylglucosamine (GlcNAc) and O-linked glycosylation of N-acetylgalactosamine (GalNAc). The glycosidic bond between the carbohydrate (black) and the amino acids (blue) is seen in red.1 N-linked glycosylation occurs in the ER and continues in the Golgi complex. Protein synthesis takes place on ribosomes on the ER surface. The proteins are then introduced into the lumen of the ER for glycosylation.1 Carbohydrates destined for attachment to the asparagine residue of proteins, are mediated using dolichol phosphate (Figure 2). Figure 2: Dolichol phosphate is a lipid located membrane for attachment to the oligosaccharide.1 in the ER The terminal phosphate group of dolichol phosphate attaches to the carbohydrate, which then transfers the oligosaccharide to an asparagine residue of the protein. 3 Glycoproteins once formed in the lumen of the ER, are transferred to the Golgi complex for further alterations of the carbohydrate units.1 O-linked glycosylation takes place exclusively in the Golgi complex.1 The Golgi complex, acting as the sorting center of the cell, can then direct the glycoproteins, once modified, to lysosomes, secretory granules or the membrane depending on the amino acid sequence.1 Complex Carbohydrates Carbohydrates that bond to their respective amino have two types of structures; high mannose or complex. these mannose structures and carbohydrates two contains a pentasaccharide N-acetylglucosamine which typically (GlcNAc) partake biantennary, taking on a “Y” shape. in core acids Each of of three residues.1 The glycosylation are Examples of each type of N- linked oligosaccharide can be seen in Figure 3. A. B. Figure 3: A) High-mannose type of N-linked oligosaccharide and B) Complex type of N-linked oligosaccharide. The pentasaccharide core is shaded in gray.1 4 Glycoproteins are key molecules in the immune system, which aid in immune response. One relevant issue involving glycosylation, is the glycosylation of affinity of antibodies antibody-antigen in order to increase the interactions for effective therapies.2 Antibodies An antibody is a protein of the immune system which is made up of four polypeptides, two light chains and two heavy chains.3 Antibodies are also in the shape of a “Y” with the antigen binding sites at the two ends, named the variable region (Fab), and the stem, known as the constant region(Fc). also homodimers with covalent disulfide-bonding Antibodies are at the hinge region (Figure 4). Figure 4: Antibody structure.3 In order to study these two regions individually, the antibody can be treated with a protease, which cleaves between the Fc region and the two identical Fab regions.3 5 Upon the foreign invasion of antigen, the cell, or body, will invoke the immune response.1 different production of antibodies against antigen as Antibodies that are produced are specific for antigens. The constant region of an antibody determines one of the five major classes, IgM, IgG, IgA, IgD, and IgE.3 These five classes known as immunoglobulin (Ig)3, designate the specificity in antigen binding and in immune response to bound antigens. Immunoglobulin G (IgG)4 Immunoglobulin G (IgG) is the most prominent antibody in humans and it is found in the blood. sites for ligands, which activate glycosylation, are expressed. effector functions glycoforms and are vary mechanisms of The ligands that interact are Fc receptor types FcγRI, FcγRII, FcγRIII. effector On the Fc, interaction the essential The expression of these efficacy for between glycosylation. different The IgG structure is consistent with typical immunoglobulin structure. The CH2 and CH3 domains of the Fc region on IgG are very important for receptor binding (Figure 5). The glycosylation of the CH2 domain through the attachment of oligosaccharides at asparagine (Asn) 297, is a unique feature of IgG, (Figure 6) which will become a key player in the immune mechanism. 6 Figure 5: Human regions are the chains.4 IgG with the functional regions. light chains and the orange are The the green heavy Figure 6: Interaction of the IgGFc domain with a carbohydrate. The view is from the hinge region toward the CH3 terminus.2 IgG typically becomes glycosylated by a biantennary complex which allows for 32 different oligosaccharides and possibly 400 or more glycoforms. The structure 7 of the biantennary carbohydrates are such that the pentasaccharide invariant, however, external saccharides can vary. core is It has been shown that the Fc associated sugars from human IgG are complex biantennary with terminal sialylation and galacosylation.5 The Fc region of human IgG has N-linked carbohydrates in addition to the glycosylation site at Asn 297.4 Glycosylation and the Immune System The immune system aids in the proper folding of proteins and it controls the assembly of glycoproteins, such as T cell receptors (TCR), with specific glycoforms.2 Improperly folded proteins function do not allow glycoprotein to occur. for the desired of the Therefore, glycoproteins are required to engage in a series of interactions with chaperones and enzymes. An oligosaccharide protein in the ER. precursor, GlcNAc2Man9Glc3, attaches to the This oligosaccharide is readily processed into another form, GlcNAc2Man9Glc1, which binds the chaperones calnexin (Clx) and calreticulin (Clr).2 Clx and Clr are essential to access the folding pathway and also in the loading of antigenic peptides onto the major histocompatibility complex (MHC). The MHC plays a large role in recognizing T cells with TCR in the membrane for attacking foreign antigens. shows the structure of calnexin and calreticulin.2 8 Figure 7 A B Figure 7: Structures of Calnexin (A) and Calreticulin (B). Glycoproteins which are not folded correctly, or have been left unfolded, are degraded in the ER in order to avoid improper functioning.2 then The proteins which are produced and folded are presented to the cell surface to respond to T cell antibodies. Another role that glycosylation has in the immune system is T cell recognition of antigen presenting cells (APCs).2 T cells act in numerous ways in the recognition of antigens in the body. They are differentiated by the glycoprotein at their surface. In order for TCRs to recognize APCs, the immunological synapse must be formed.2 This junction allows for the recognition of antigenic peptide-loaded MHC by TCRs to generate a response.2 Oligosaccharides on the cell membrane moderate the alignment of 9 opposing cell surfaces as well as restrict the orientation of cell-adhesion molecules, CD2 and CD48. Also, they aid in the transport of MHCs to the center of the junction.2 In Figure 8 the immunological synapse model is seen highlighting the CD2CD48 cell adhesion pair, MHC, and TCR-CD3-CD8 complex. CD3 and CD8 act as co-receptors with TCR. Figure 8: Immunological synapse where T cell recognition of APCs takes place. The glycopeptide is in the middle (black and yellow) which aids in the binding of the complex.2 Glycoproteins have been shown to play a main role in the immune system through proper folding and antigen recognition.2 By closely examining the variability of glycosylation and its effect on function, one can have a better understanding health and disease in regards to the immune system.2 10 of Glycosylation in Vivo Pertinent to Disease Sialylation6 The addition of sialic acid (SA), sialylation, at Asn 297 on the Fc domain and terminal galactosylation, play a role in rheumatoid arthritis (RA). IgG can mediate anti- and pro- inflammatory activity through interactions of Fc with Fcγ type receptors. The distinct properties of IgG Fc are a result of sialylation of the core carbohydrate structure. A good example of a fully processed complex carbohydrate structure observed in antibodies is shown in Figure 9. The oligosaccharide in Figure 9 is attached to the protein at Asn 297 by the fucosylated GlcNAc core. The cleavage at GlcNAc occurs due to the catalytic action of peptide N-glycosidase F (PNGase F). This enzyme detaches the carbohydrate from the protein at the Asn binding site.6 Figure 9: Sialic Acid structure and core carbohydrate structure observed in antibodies typical in the body. The main backbone structure is in bold along with the terminal sialic acid and galactose in red. PNGase F and neuraminidase are cleavage enzymes.6 11 Neuraminidase is the enzyme that between SA and Gal (Figure 9). cleaves glycolytic bonds The mass spectroscopic analysis in Figure 10 detects the mass/charge ratio of the N-glycans of intravenous gamma globulin (IVIG); specifically, the mass of SA as IVIG is treated with neuraminidase. Between the treated and untreated IVIG, a number of masses for SA are missing. There is only a single mass peak for the treated IVIG, as opposed to five peaks for the untreated IVIG, which demonstrates the effectiveness of neuraminidase. Figure 10: Mass Spectrum of N-glycans of untreated intravenous gamma globulin (IVIG) and neuraminidase-treated IVIG. Within 6 the brackets are masses of fragments containing SA. It has been shown that IgG glycosylation differs within patients with RA, since Fc galactosylation and sialylation is decreased when compared with normal patients. Therefore, a number of IgG glycoforms have been suggested to contribute to this response. The analysis of glycoforms by mass spectroscopy to determine the composition of the carbohydrate was useful to show that minimal 12 SA residues existed in patients with RA. Antibodies with decreased levels of terminal sugars have been suggested to take on a pathogenic role, thus influencing studies in vivo of SA and antibody activity.6 The sialylation of a glycoform, 6A6-IgG, reduced the antiinflammatory biological activity which could be restored upon the removal of the SA by neuraminidase. Binding affinity analysis of sialylated antibodies with their respective FcγRs also showed the effects of sialylation (Table 1). glycoforms that glycosylation. were used were IgG antibodies with The four varying The binding affinity of each glycoform to the Fcγ type receptors is best illustrated by the binding constants in the second to fourth columns of Table 1. Table 1: FcγR Binding to Antibodies (6A6-IgGs)6 These binding constants physiological effects. were in direct correlation with the Those glycoforms without SA bound to the Fcγ type receptors had higher binding constants and inflammation was enhanced.6 13 Galactosylation7 Galactosylation plays a key role in autoimmune disease by either its presence, or lack thereof, on the CH2 domain. Increased levels of agalactosyl (G0) IgG isoforms are associated with autoimmune disease. In order to study the role of galactosylation in vivo, IgG in the serum of mice was used. It was shown that with a reduction in galactosylation of IgG in the serum, a normal immune response to disease was produced. Sialylation and galactosylation are two forms of glycosylation in the body that either cause or prevent disease.7 There are a number of ways in which glycosylation in vitro aids in therapy for human diseases. Glycosylation of the Fc Domain for Human Therapy Oligosaccharides which are present at the N-glycosylation site of the CH2 domain, are known to affect biological and pharmacological properties of IgGs. These changes that occur might be associated with disease.5 Glycosylation of IgG for therapeutic technology. agents have These been achieved particular using recombinant immunoglobulins recombinant immunoglobulin G (rIgG). are known DNA as Glycosylation of IgGs is “species-specific”, and reveals the necessity for selecting the proper cell line to express rIgGs for therapy in humans.5 In a study done by T.S. Raju et al in 2000, N-linked oligosaccharides in IgGs of thirteen different animal species 14 were studied to find the model for species-specific production of rIgGs in humans. The study focused on the importance of the terminal sialylation and galactosylation of IgGs. The initial analysis was to determine the amount of neutral sugars and sialic acid forms using a phenol-sulfuric acid method and RP-HPLC method respectively. Oligosaccharides are released from IgGs through hydrazinolysis of the glycosidic bonds.5 This revealed that the distribution of sugars and SA among varying species is distinct. Table 2 shows these data and how only humans and chickens have the SA form N-acetylneuraminic acid (NANA) while others only contain the N-glycolylneuraminic acid (NGNA) form but some contain both.5 Table 2: The neutral sugar and SA content of IgGs in 13 animal species. An average of 150kD was used for the molecular weight of IgGs in determining the values for SA.5 Following the designation of sugar content, the IgGs of these species were treated with PNGase F to release the N-linked 15 oligosaccharides from the IgGs. They were then analyzed through the use of matrix-assisted laser desorption/ionization time-offlight mass spectrometry (MALDI-TOF-MS) for neutral and acidic oligosaccharides spectral shown analysis in Figure allowed 12A for and a 12B. This comparison mass between oligosaccharides of different species. The only oligosaccharides recovered were released by PNGase F and therefore were determined to be N-linked.5 There were two modes in which the mass spectrometry was performed, positive and negative. In the positive mode, protonated molecular ions are detected and proteins and peptides are analyzed. Negative mode identifies the deprotonated molecular ions of oligosaccharides and oligonucleotides. The fragments in Figure 12A and 12B represent the PNGase F released N-linked oligosaccharides of IgGs for each species both in the positive ion mode and negative ion mode respectively. The oligosaccharides in Figure 12A are shown to be similar in all species with some variance. The fragmentation in Figure 12B represents much more variance between the oligosaccharides from each species, specificity of demonstrating the oligosaccharides. importance of This stresses also speciesthe necessity of careful consideration for therapies using rIgGs of different species for humans. 16 A B Figure 12: MALDI-TOF-MS of IgGs in animal species. Determination of neutral and acidic oligosaccharides based on weight. A) Positive ion mode in DHB matrix with NaCl B) Negative ion mode with THAP matrix.5 17 IgGs of varying species contain a wide array of biantennary complex type oligosaccharides as shown in the core and terminal galactosylation and sialylation.5 Figure 13 shows the percentage of glycoforms for each of these species according to variations of the oligosaccharide complex. Figure 13: Comparison of the fucosylated core (A) terminal galactosylation (B) bisecting GlcNAc(C) and NANA (striped bar) and NGNA (solid bar) (D). All taken from MALDI-TOF-MS analysis.5 It is shown that the more specific the glycosylation cleavage, the fewer glycoforms are present in the species. 18 or The most prominent difference lies within the varying glycoform percentages of the two forms of SA, NANA and NGNA in Figure 13D. Some species contain only one form or the other, while some contain both. The expression of these oligosaccharides by glycosylating IgG, has remained consistent with Fc glycosylation to biantennary carbohydrates, thereby emphasizing the importance of the Fc domain as site for glycosylation.5 Monoclonal Antibody Technology Another effective therapy using glycosylation of antibodies is through monoclonal antibody technology. There are two main types of antibodies that can be used for therapies: polyclonal and monoclonal. Polyclonal antibodies are comprised of many different antibodies all binding to different surface features of the same antigen. The use of this type of antibody can be complicated due to heterogeneity.1 Monoclonal antibodies (mAbs) on the other hand are identical antibodies which recognize one specific site of the antigen.1 Production of monoclonal antibodies begins with the fusing of a tumor cell with a mammalian cell. Clones of single identical mammalian antibodies is difficult to accomplish since once they are isolated, they die quickly. To increase the longevity of the antibodies being produced, they are fused with specific tumor cells. Tumor cells replicate endlessly, therefore lengthening the lifespan of antibody-producing cells.1 19 The fusion of hybridoma.8 for that these cells creates an antibody known as a This hybridoma continually makes antibodies specific antigen, antibodies. The or tumor purified cell, antibody thus creating attacks only monoclonal the target molecule, decreasing the side effects in vivo.8 The specificity monoclonal antibody of antibodies research.8 In increases order to the make value mAbs of more specific, modification of their glycosylated Fc domain can be performed. These antibodies, once glycosylated, can be used therapeutically as well as to diagnose illnesses and detect “unusual or abnormal substances” within the blood stream.8 Therapies Developed Using in Vitro Glycosylation Manipulating the oligosaccharides attached open the door to more effective drugs. therapeutics (rMAbs) antibodies.4 is now aimed to antibodies Recombinant antibody at the glycosylation rMAbs are created by mammalian cell cultures from Chinese hamster ovary (CHO) cells or other mouse cells.4 are 14 of rMAbs Posttranslational currently and modification more (PTM) are is being where There studied. glycosylation takes place; therefore it is the focus of investigations.4 Some of the therapies that have been developed through glycosylation of the heavy chain regions which are specific for disease specific involve for cetuximab epidermal and rituximab. growth factor 20 and Cetuximab thus is is rMAb used for treatment of colon, head, and neck cancer. oligosaccharide directed is against treatment of at the Asn88. growth non-Hodgkin’s Its main N-linked Rituximab is cancer cells of lymphoma.10 used This in as therapy well therapy as a becomes effective against malignant cells when the glycoform bears a bisecting GlcNAc.4 These specificities towards antibodies, along with therapies, allow for greater potency against disease. The biopharmaceutical industry manipulates the structure of antibodies to enhance their efficacy to antigens and create more helpful therapies. Occasionally gene knock-outs or gene knock- ins are made for selected glycosyltransferases.4 Even minute differences in the glycoform structure have been shown to result in gross changes. glycoforms in the Since there are many complex mixtures of body, all of which play a role in vital effector mechanisms within the body, the possibility to generate rMAbs for therapeutics is endless. CONCLUSION The glycosylation of antibodies and other proteins is the foundation of many processes within the body. This has been shown to be an intricate process involving the asparagine site on Fc domain of IgG and the variation of the oligosaccharide composition. Sialylation components in many especially rheumatoid and galactosylation glycosylating arthritis. 21 processes The are also involving development of key disease therapy using glycosylation of antibodies is one of the applications in future biopharmaceuticals. An important development of therapy depends on the production of recombinant IgG. Oligosaccharide composition of the core of antibodies provides specificity that is most consequential in pharmaceutical applications. Glycosylation is a natural approach to human health. modification of an antibody through the The simple attachment of carbohydrates, and their varying structures, is an attractive mode of therapy. 22 References: 1. Berg, J.; Tymoczko, J.; Stryer, L. Biochemistry. 6th ed. New York: W.H. Freeman and Company, 2007, pp. 316-319. 2. Rudd, P.; Elliot, T.; Cresswell, P.; Wilson, I.; Dwek, R. Science 2001, 291, 2370-2376. 3. University of Arizona, The Biology Project 2000. www.biology.arizona.edu 4. Jefferis, R. Biotechnol. Prog. 2005, 21, 11-16. 5. Raju, T.; Briggs, J.; Borge, S.; Jones, A. Glycobiology 2000, 10, 477-486. 6. Kaneko, Y.; Nimmerjahn, F.; Ravetch, J. Science 2006, 313, 670-673. 7. Barker, R.; Young, R.; Leader, K.; Elson, C. Clin. Exp. Immunol. 1999, 117, 449-454. 8. National Health Museum. Monoclonal Antibody Technology 1999, www.accessexcellence.org/RC/AB/IE/Monoclonal_Antibody. 9. Borman, S. Chemistry and Engineering News 2006, 13-22. 10. The Official Site for Rituximab www.rituximab.com. 23 Information. 2006.